Coordination of Benefits Specialist

**Position Summary**: This position is directly responsible for researching and maintaining coordination of benefits of all contracted and non contracted health plan entities as reported by any health plan, provider, Medicare, TPL, Workers Comp or internal departments. They are to ensure that all EZ-Cap system eligibility data is current and accurate....

**Position Summary**: Provide efficient and accurate information to prior authorization requests. Ensure that correct benefits, co-pays and financial responsibility are provided to Prior Auth requestors. **Essential Duties and Responsibilities include the following**: - Anticipate our customer needs: Understand the process and job guidelines in order to...

Job DescriptionPosition Summary: Provide efficient and accurate information to prior authorization requests. Ensure that correct benefits, co-pays and financial responsibility are provided to Prior Auth requestors. Essential Duties and Responsibilities include the following:Anticipate our customer needs: Understand the process and job guidelines in order to...

**Position Summary**: The Outpatient Coordinator is responsible for managing and coordinating care for high risk patients. The Outpatient Coordinator will assist case managers in developing a comprehensive care plan for high risk patients. This individual will facilitate appointments for the member, which include Health Plan Programs related to their...

Job Description Position Summary: The Outpatient Coordinator is responsible for managing and coordinating care for high risk patients. The Outpatient Coordinator will assist case managers in developing a comprehensive care plan for high risk patients. This individual will facilitate appointments for the member, which include Health Plan Programs related to...

Job Description Position Summary:The Outpatient Coordinator is responsible for managing and coordinating care for high risk patients. The Outpatient Coordinator will assist case managers in developing a comprehensive care plan for high risk patients. This individual will facilitate appointments for the member, which include Health Plan Programs related to...

The Post Hospital Discharge Scheduler is the contact person for the inpatient case managers/coordinators to assist in scheduling all PCP and specialist appointments for qualified patients. In addition, the Scheduler will be outreaching to patients to schedule appointments and to remind patients of their upcoming appointments. The Scheduler must be very...

**Position Summary**: Provide daily support in the maintenance of Regal Medical Group’s claims processing system. Supports accuracy of member benefit set up, assignments, claims processing, financial accuracy and data integrity. **Essential Duties and Responsibilities include the following**: - Communicates and implements programs within focused area of...

Job Description Position Summary: The Outpatient Coordinator Lead is responsible for navigating the care management across the continuum of care of the member from acute to outpatient case management. The Outpatient Coordinator Lead's role is to incorporate administrative job functions to provide optimal care and coordination of care for members. The...

Job DescriptionPosition Summary: The Outpatient Coordinator Lead is responsible for navigating the care management across the continuum of care of the member from acute to outpatient case management. The Outpatient Coordinator Lead’s role is to incorporate administrative job functions to provide optimal care and coordination of care for members. The...

We are a successful, dynamic organization in the marketing and sales industry undergoing accelerated growth. We are seeking an ambitious and confident individual to join our team. Our entry-level Marketing Specialists continually develop new marketing strategies for our high-profile clients within the telecommunications, clean energy, and home delivery...

Job DescriptionPosition Summary: The Coordinator, Outpatient is responsible for coordinating non-clinical tasks to support the delivery of case to members who meet case management criteria. Responsibilities include but are not limited to assisting in scheduling medical appointments, durable medical equipment, home health, eligibility/benefit verification,...

Job DescriptionPosition Summary: The Coordinator, Outpatient is responsible for coordinating non-clinical tasks to support the delivery of case to members who meet case management criteria. Responsibilities include but are not limited to assisting in scheduling medical appointments, durable medical equipment, home health, eligibility/benefit verification,...

Export/Inventory Coordinator located in Dayton, OH PRIMARY DUTIES & RESPONSIBILITIES: - Monitor & approve cycle counts. - Perform audits on receiving. - Implement processes to improve inventory control. - Work with Work Order Specialist on issues that need resolving. - Work with departments on Monday reports to resolve issues. - Audit order pickers &...

A Retail Sales Specialist is responsible for providing exceptional customer service, driving sales, and ensuring a positive experience for customers within a retail environment. This role requires a combination of product knowledge, communication skills, and the ability to build relationships with customers. The Retail Sales Specialist plays a vital role in...

Job Description Education and/or Experience: High school graduate required; Associate in Arts degree preferred. Knowledge of Healthcare and Managed Care preferred. Typing 60 words per minutes with accuracy. Knowledge of computers, faxes, printers and all other equipment. Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power...

Position : Peer Recovery Support Specialist I Department: PDD Reports To: Program Operations Supervisor This full-time position focuses on delivering peer recovery support services to individuals engaged in services with Alternatives to Incarceration Program. Operating within the justice involved demographic, key responsibilities including but not limited...

**Requisition ID**:R10157286**: - ** Category**: Manufacturing and Production - ** Location**: Northridge, California, United States of America - ** Clearance Type**: Secret - ** Telecommute**: No - Teleworking not available for this position - ** Shift**: 1st Shift (United States of America) - ** Travel Required**: Yes, 10% of the Time - ** Positions...

Job Description After Hours work schedule: Fully remote, 3 weeknights from 5 pm - 9 pm; 12 hour shift every weekend from 8 am - 9 pm, and 12 hour shift every holiday from 8 am - 9 pm. We are looking for Inpatient Coordinators to join our team in Northridge after hours team to help support our members in the San Fernando /Simi Valley areas. Position Summary:...

Job Description After Hours work schedule: Fully remote, 3 weeknights from 5 pm - 9 pm; 12 hour shift every weekend from 8 am - 9 pm, and 12 hour shift every holiday from 8 am - 9 pm. We are looking for Inpatient Coordinators to join our team in Northridge after hours team to help support our members in the San Fernando /Simi Valley areas. Position Summary:...